Ðe kuxi siawo le fu ɖem na wò le wò lãkusiwo ŋua? Mina míaƒo nu tso Pulmonary Sarcoidosis ŋu

Ðe gbɔgbɔtsixe tsia ƒowò ɣeaɖewoɣia, alo kɔdzidɔ si nɔa anyi ŋkeke geɖe la nɔa ŋuwòa? Ðewohĩ ɖeɖi te ŋuwò le susu aɖeke manɔmee, tsɔ kpe ɖe akɔtave ŋu. Esiawo ate ŋu anye nu geɖe wu ɖeɖiteameŋu si sɔ ko. Egbea míele nu ƒom tso nɔnɔme aɖe si ɖewohĩ mèse nu tsoe o, gake ele vevie ŋutɔ be nànya nu tso eŋu. Emae nye aklã me sarcoidosis.

Nukae Nye Aklã me Sarcoidosis?

Kpuie ko la, sarcoidosis nye dɔléle si nana míaƒe ŋutilã ƒe akpa vovovowo xɔa abi , alo vuvu. Nusi dzɔna le esia mee nye be míaƒe dɔlélenutsiŋutete ƒe lãmenugbagbeviwo ƒoa ƒu hewɔa ƒuƒu suesuesuewo. Le atikewɔwɔ me la, míeyɔa ƒunukpeƒetetedɔ siawo be granulomas . Ne míagblɔe tututu la, esiawo ate ŋu anɔ sue abe bliku ene alo alolo vie wu.

Fifia, Pulmonary Sarcoidosis nye esime nɔnɔme sia gblẽa nu le míaƒe lãkusiwo ŋu koŋ . Gake menye lãkusiwo me koe wòku ɖo o. Ɣeaɖewoɣi la, ate ŋu agblẽ nu le ŋutigbalẽ, ŋku, ʋukawo, dzi, alo ŋutilã ƒe ŋutinu bubu ɖesiaɖe ŋu. Zi geɖe la, aklã me sarcoidosis ƒe nɔnɔme sia nyona ɖe edzi le eɖokui si. Gake le nɔnɔme wɔnublanui aɖewo me la, dɔdzẽ sia si yia edzi ate ŋu ana abi nanɔ lãkusia ŋu tegbee . Esia tae wòle vevie ŋutɔ be mí katã míanya nɔnɔme sia.

Ðe esia nye kansa?

Ame geɖe, ne wose ŋkɔ "sarcoidosis", vevietɔ ne wose "ƒuƒoƒo" siwo dzɔna la, ateŋu asusu be, "Oo, nyemenya ne kansae nye esia o." Ao, ne míagblɔe eme nakɔ la, menye kansae sarcoidosis nye o. Enye nɔnɔme si to vovo kura. Gake atikewɔwɔ ŋuti numekuku aɖewo ɖee fia be amesiwo ŋu sarcoidosis le ate ŋu axɔ kansa ƒomevi aɖewo le etsɔme vie wu ame bubuwo. Gake ele be wòanɔ susu me na wò be dɔléle eve siawo mesɔ o.

Nukae nye Pulmonary Sarcoidosis ƒe dzesiwo?

Ðo ŋku edzi be menye amesiamee dɔléle sia le o, gake womeɖea dzesi aɖeke fiana o. Ame aɖewo ate ŋu axɔe dzesi aɖeke manɔmee. Gake ne èyi edzi le nusiawo me tom la, ele be nàtsi dzi vie:

• Àte ŋu ase akɔtave . Ate ŋu ase le eɖokui me abe ɖe wò akɔta titina ene, alo ate ŋu ave wò ne èle gbɔgbɔm.
• Àte ŋu axɔ kɔdzidɔ si nɔa anyi ɖaa si medzona o eɖanye kɔdzitike agbɔsɔsɔme ka kee nèno o.
• Àte ŋu ase le ɖokuiwò me be ɖeɖi te ye ŋu , ɖeɖi te ye ŋu, yease le ye ɖokui me be yeƒe lãme mekɔ o, alo yeƒe lãme sẽ . Ðeko wòle abe asrã le ŋuwò ene, eye wò ŋutilã se le eɖokui me be yele kpekpem.
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe) ., si fia be gbɔgbɔtsixe tsi ƒowò, abe ɖe gbɔgbɔ le fu ɖem na wò ene. Àte ŋu ase le ɖokuiwò me gɔ̃ hã be yeƒe ta natsi ne èzɔ mɔ kpui aɖe.
• Ɣeaɖewoɣi la, àte ŋu ase ɣlidodo tso wò akɔta ne èle gbɔgbɔm .

Tsɔ kpe ɖe nusiawo ŋu la, ame geɖe siwo ŋu aklãdɔléle le la wɔa avu kple blanuiléle . Mewɔ nuku o be ne dɔléle si nɔa anyi didi abe esia ene do kplamatse gbesiagbegbenɔnɔ, dɔwɔɖui, kple hadomenuwɔnawo la, ate ŋu anye nuteɖeamedzi.

Nuka tae wòle alea ɖo?

Le nyateƒe me la, ɖɔktawo kple dzɔdzɔmeŋutinunyalawo menya nusi tututu gbɔ aklã me sarcoidosis tsona haɖe o. Esesẽ vie. Le go aɖewo me la, eƒua du le ƒomewo me, si fia be domenyiŋusẽfianu ate ŋu anɔ wo dome . Le go bubuwo me la, wosusu be nutoa me ƒe nɔnɔmewo abe dɔlékui aɖewo, dɔlékui aɖewo, ke, alo atikewo zazã ɣeyiɣi didi ene gbɔe wòtsona . Ate ŋu anye atike aɖewo ƒe nugbegblẽ le ame ŋu hã . Numekulawo gale nu srɔ̃m tso esia ŋu be yewoanya nusi tututu dzɔna.

Aleke gbegbee nɔnɔme sia bɔe? Amekae ate ŋu axɔe wu?

Togbɔ be akɔntabubu aɖeke meli si sɔ pɛpɛpɛ tso esia ŋu le Sri Lanka o hã la, ne míelé ŋku ɖe xexeame ƒe dukɔ bubuwo ŋu, le kpɔɖeŋu me le dukɔwo abe United States of America ene me la, woka nya ta be ame siwo ade akpe ɖeka kple afã va ɖo akpe alafa eve ye kpea fu le sarcoidosis ƒe nɔnɔme sia me. Le mamã dedie nu la, togbɔ be ame siwo ade 11 le yevu 100,000 ɖesiaɖe me xɔa nɔnɔme sia hã la, le amesiwo tso Afrika gome la, xexlẽme sia dzina ɖe edzi va ɖoa abe 34 ene le ame 100,000 ɖesiaɖe me. Le goawo katã me la, mɔnukpɔkpɔ si ade 2.4 le alafa me li be ame aɖe naxɔ dɔléle sia.

Zi geɖe la, sarcoidosis gblẽa nu le lãkusiwo ŋu gbã.

Aklã me Sarcoidosis ate ŋu adze ame sia ame dzi, metsɔ le ŋutsu alo nyɔnu nyenye, ƒexɔxɔ, alo ameƒomevinyenye me o. Gake wokpɔe be ame siwo gbɔna la le afɔku si lolo wu me vie:

• Ame siwo tso Afrika alo Dziehe Europa (e.g. dukɔwo abe Denmark, Norway, Sweden) dzɔtsoƒe.
• Ame siwo wɔa dɔ le nuto siwo me nudzodzoeviwutikewo, aŋɔ, ke, alo nu bubu siwo ate ŋu ana abi le.
• Ame siwo noa atike aɖewo ɣeyiɣi didi. Le kpɔɖeŋu me, atike aɖewo siwo wozãna na HIV dɔlékuia, atike siwo tsia kansa nu, alo atike siwo nana dɔlélenutsiŋutete wɔa dɔ akpa.
• Ne aklã me sarcoidosis nɔ wò ƒomea me kpɔ la, ema fia be domenyiŋusẽfianu ate ŋu akpɔ ŋusẽ ɖe edzi.
• Nyɔnuwo hã te ŋu xɔa nɔnɔme sia bɔbɔe wu ŋutsuwo.

Aleke nèwɔ de dzesi esia?

Ne wò ɖɔkta susui be aklã me sarcoidosis le wò dzesiwo alo dodokpɔ bubuwo ta la, ate ŋu aɖe gbe be woawɔ dodokpɔ geɖe, abe:

• Akɔta ƒe X-ray: Esiae nye dodokpɔ gã gbãtɔ si wowɔ. Ate ŋu akpɔe ɖa be nusiwo mesɔ o le lãkusiwo kple ʋuka siwo vuvu me hã.
• CT scan: CT scan ate ŋu ana nɔnɔmetata siwo me kɔ, siwo ƒe akpa aɖewo le tsia dzi wu X-ray. Esia kpena ɖe ame ŋu wòkpɔa alesi lãkusiwo le nyuie wu.
• Aklã ƒe dɔwɔwɔ dodokpɔ: Esia bia be woana nàku ya ɖe mɔ̃ aɖe me atsɔ adzidze alesi wò lãkusiwo le dɔ wɔm nyuie, ya agbɔsɔsɔme si nàte ŋu age ɖe eme kple esi ado goe, kple alesi nàte ŋu axɔ ɔksidzin ɖe wò ʋu me nyuie (e.g., gas ƒe kaka dodokpɔ) .
• Biopsy: Esiae nye mɔ nyuitɔ si dzi woato aɖo kpe dɔlélea dzi. Esia bia be woaɖe lãkusi sue aɖe tso lãkusi alo ʋuka si vuvu me eye woalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me akpɔe ɖa be granulomas aɖewo li hã. Woate ŋu axɔ lãkusi sia to mɔnu aɖe si woyɔna be bronchoscopy (mɔ̃ tsɛ aɖe si me wotsɔa fotoɖemɔ̃ dea yaƒoƒomɔ̃wo me) dzi.
• Ʋudodokpɔ: Kpɔ nuwo abe dɔdzẽ ƒe agbɔsɔsɔ, calcium ƒe agbɔsɔsɔ, ayiku kple aklã ƒe dɔwɔwɔ, kple bubuawo ɖa Ɣeaɖewoɣi la, wokpɔa angiotensin-converting enzyme (ACE) ƒe agbɔsɔsɔ, elabena esia ate ŋu adzi ɖe edzi le sarcoidosis me.
• Ne ehiã la, woate ŋu awɔ foto tɔxɛ bubuwo abe MRI alo positron emission tomography (PET) hã.

Nukae nye Aklã me Sarcoidosis ƒe afɔɖeɖewo?

Wò ɖɔkta ate ŋu anɔ te ɖe wò dodokpɔa me tsonu, vevietɔ nusiwo nèkpɔ le wò akɔta ƒe X-ray me, kple wò dzesiwo dzi ade dzesi dɔlélea ƒe akpa aɖe. Akpa siawo tso dzesi aɖeke manɔmee dzi va ɖo lãkusi ƒe gbegblẽ vevie dzi:

• Afɔɖeɖe 0: Akɔta ƒe X-ray wɔwɔ sɔ kura. Dzesi aɖeke mele granulomas ŋu o. Dzesiawo hã ate ŋu manɔ anyi o.
• Afɔɖeɖe I: Hilar lymph nodes siwo le akɔta ƒe akpa eveawo vuvu, gake naneke megblẽ le lãkusia ŋu si woate ŋu akpɔ o. Zi geɖe la, dzesiawo ate ŋu manɔ anyi o.
• Afɔɖeɖe II: Lãmetsiŋusẽ ƒe ʋukawo vuvu, eye dzesiwo le granulomas ŋu le lãkusi me. Ame siawo ate ŋu adze dzesiwo gɔme.
• Afɔɖeɖe III: Granulomas kaka ɖe lãkusiwo katã me, gake ʋuka siwo me ʋu sina tona ƒe vuvu ate ŋu aɖe akpɔtɔ alo manɔ anyi o.
• Afɔɖeɖe IV: Esiae nye afɔɖeɖe si nu sẽ wu. Aklã me sarcoidosis gblẽa nu le aklã ƒe lãkusi ŋu.Abi si nɔa anyi ɖaa, si womate ŋu atrɔ o, si woyɔna be aklã me fibrosis, dzɔna. Esia gblẽa nu le lãkusi ƒe dɔwɔwɔ ŋu ŋutɔ.

Ðo ŋku edzi be menye ɣesiaɣie afɔɖeɖe siawo do ƒome kple dɔlélea ƒe sesẽme tẽ o. Ame aɖewo ate ŋu akpɔ dzesi sesẽwo le afɔɖeɖe I gɔ̃ hã me.

Nukawoe nye atike siwo wozãna na esia?

Nya nyui aɖe li! Menye amesiame si ŋu aklã me sarcoidosis le lae ahiã atikewɔwɔ o. Zi geɖe la, vevietɔ le afɔɖeɖe I me la, nɔnɔmea yia edzi le eɖokui si ne womewɔ atike aɖeke nɛ o . Ðeko wò ɖɔkta alé ŋku ɖe ŋuwò hena ɣeyiɣi aɖe.

Gake ne wò dzesiwo nu sẽ, ne wò lãkusi ƒe dɔwɔwɔ gblẽ, alo ne ekpɔ ŋusẽ ɖe ŋutinu vevi aɖe abe wò ŋku alo dzi ene dzi la, ehiã be woawɔ atike na wò.

• Atike vevitɔ si wonanae nye prednisone . Esia nye corticosteroid ƒomevi aɖe . Wozãnɛ tsɔ léa abi si le ŋutilãa me kple dɔlélenutsiŋutete ƒe dɔwɔwɔ fũu akpa dzi. Gake esi wònye be atike sia ate ŋu ahe nugbegblẽ le ame ŋu abe lolo, suklidɔ ƒe afɔku si dzi ɖe edzi, kple ƒuwo ƒe ƒuƒu ne wozãe ɣeyiɣi didi ta la, ɖɔktaa anae le agbɔsɔsɔ suetɔ kekeake me eye wòanae ɣeyiɣi kpuitɔ kekeake.
• Le amesiwo prednisone ƒe mɔɖeɖe sesẽna na, alo amesiwo hiã atikewɔwɔ ɣeyiɣi didi gome la, ɖɔktawo ate ŋu aɖo aɖaŋu na wo be woazã atike bubuwo abe:
• Atike siwo tea dɔlélenutsiŋutete ɖe to, abe methotrexate kple azathioprine ene .
• Dɔlékuiwutike siwo xea mɔ na dɔdzẽ ƒe kuku (TNF) abe infliximab alo adalimumab ene . Wozãa esiawo zi geɖe na nɔnɔmewo abe ƒunukpeƒetetedɔ ene.
• Ɣeaɖewoɣi la, wozãa asrãtikewo abe hydroxychloroquine ene tsɔ daa ŋutigbalẽ kple ƒunukpeƒewo ƒe dzesiwo.

Ƒã ŋutɔ la, le dɔléle sesẽwo (afɔɖeɖe IV) siwo me lãkusiwo gblẽ tegbee eye gbɔgbɔtsixe tsia ame ƒo vevie me la, nusiwo gbɔna ate ŋu ahiã:

• Aklã ƒe ɖɔɖɔɖo: Kamedede kple aɖaŋuɖoɖo ƒe ɖoɖo tɔxɛwo.
• Oxygen kpeɖeŋutɔ .
• Mlɔeba la, amekoko si wowɔna tsɔ doa lãkusi na ame .

Ðe woate ŋu axe mɔ ɖe esia nua?

Nublanuitɔe la, dzɔdzɔmeŋutinunyalawo mese nusi hea aklã me sarcoidosis vɛ gɔme bliboe haɖe o, eyata mɔ aɖeke meli si ŋu kpeɖodzi le si dzi woato axe mɔ ɖe enu o. Gake wogblɔ be dɔléle aɖewo do ƒome kple nutomenuwo abe nudzodzoeviwutikewo, ke, kple aŋɔ ene.Tete ɖa le nu mawo ŋu alesi nàte ŋui kple nɔnɔme si me ya dzadzɛ le me nɔnɔ akpe ɖe ŋuwò be wò lãkusiwo nanɔ lãmesẽ me. Azɔ hã, ele vevie ŋutɔ be míaƒo asa na atamanono keŋkeŋ.

Ðe esia ate ŋu ade ame ƒe agbe afɔku mea? Ðe wòagate ŋu adzɔ akea?

Aklã me sarcoidosis ƒe akpa gãtɔ, vevietɔ ne dzesiawo mesẽ o la, yia edzi yia edzi le wo ɖokui si . Dɔléle bubuwo nu tsona keŋkeŋ ne wowɔ atike na wo ɣeyiɣi kpui aɖe. Nya mawo tɔgbe medea ame ƒe agbe afɔku me o.

Gake ne nɔnɔme sia gakpɔtɔ li ɣeyiɣi didi eye mewɔa nu nyuie le atikewɔwɔ me o la, abi (fibrosis) ate ŋu axɔ abi tegbee le lãkusiwo ŋu. Ne edzɔ alea la, ate ŋu aɖe aɖuɖɔtoe ƒe dɔwɔwɔ dzi akpɔtɔ, ana gbɔgbɔtsixe nasesẽ ɖe edzi, eye ɣeaɖewoɣi la, ate ŋu ana ame ƒe agbenɔƒe nanɔ kpuie.

Ame aɖewo ate ŋu akpɔ egbɔ be dɔlélea nu ayi tegbee, si fia be dɔlélea nu yi keŋkeŋ eye megatrɔna gbɔna o.

Gake aklã me sarcoidosis ate ŋu agadzɔ ake ne woɖee ɖa alo wodae dzidzedzetɔe gɔ̃ hã . Woyɔa esia ɣeaɖewoɣi be ‘flare-up’. Eya ta ne dɔlélea le nyonyom ɖe edzi hã la, ele vevie be nàyi edzi anɔ dodokpɔ wɔm abe alesi wò ɖɔkta gblɔe ene.

Nukawoe nye kuxi siwo ate ŋu ado tso Pulmonary Sarcoidosis me?

Ne granuloma mawo siwo ŋu míeƒo nu tsoe va yi mehaya nyuie o eye woyi edzi la, woate ŋu ahe kuxiwo abe:

• Aklã me dɔléle: Esiae nye kuxi sesẽtɔ kekeake si me afɔku le wu. Aɖuɖɔtoe me lãkusiwo va zua abi eye lãkusiwo me sẽna. Esia wɔnɛ be gbɔgbɔ sesẽna eye wògblẽa nu le lãkusiwo ŋu tegbee.
• Bronchiectasis: Esia nye nɔnɔme si me yaƒoƒomɔ̃wo (bronchi) siwo le yaƒoƒomɔ̃wo me kekena tegbee eye wogblẽna le wo ŋu. Esia ate ŋu ana ʋuʋudedi naƒo ƒu eye wòaxɔ dɔlékuiwo le lãkusi me enuenu.
• Aklã me ʋusɔgbɔdɔ: Esia nye ʋu ƒe sisi le ʋuka siwo tsɔa ʋu yia aklã me. Esia ate ŋu akpɔ ŋusẽ ɖe dzia hã dzi.
• Ŋku ƒe kuxiwo: Ne sarcoidosis gblẽ nu le ŋkuwo ŋu la, nɔnɔmewo abe uveitis ene ate ŋu ado mo ɖa, si ana ame nakpɔ nu nyuie o eye wòazu ŋkuagbãtɔ gɔ̃ hã.
• Dzidɔ: Ƒã hafi ate ŋu agblẽ nu le dzia ŋu, si ahe nɔnɔmewo abe dzi ƒe tsotso si mesɔ o kple dzi ƒe dɔmawɔmawɔ nyuie ene vɛ.
• Ŋusẽkpɔɖeamedzi ɖe ayiku dzi: Calcium ƒe agbɔsɔsɔ si dzi ɖe edzi le ʋu me ate ŋu ana ayiku me kpewo nado eye ayiku ƒe dɔwɔwɔ nagblẽ.
• Aɖuɖɔtoedɔléle si le eƒe nuwuwu: Esiae nye lãkusidɔléle ƒe akpa mamlɛtɔ. Le esia me la, wò lãkusiwo megate ŋu ɖea ya si woyɔna be carbon dioxide ɖa le wò ŋutilã me alo naa oxygen si sɔ wò ŋutilã o.

Aleke mawɔ akpɔ ɖokuinye dzi abe amesi ŋu Pulmonary Sarcoidosis le ene?

Ne wokpɔe be Pulmonary Sarcoidosis le ŋuwò la, mègatsi dzodzodzoe o. Aɖaŋuɖoɖo siawo ate ŋu akpe ɖe ŋuwò nàkpɔ nɔnɔmea gbɔ, ahaya, eye nànɔ agbe si me lãmesẽ le:

• Te ɖa tso nusiwo gblẽa nu le wò lãkusi ŋu gbɔ. Takpɔ ɖokuiwò ta tso nuwo abe ke, atikewo, amadede ƒe dzudzɔ, nudzodzoeviwutikewo, kple aŋɔ ene me. Mègano atama kura o. Mèganɔ teƒe siwo ame bubuwo noa atama le (secondhand smoke) o.
• Ƒo nuɖuɖu si me nunyiame le, si da sɔ. Ƒo amagbewo, atikutsetsewo, tɔmelã dzadzɛwo, kple nuku blibo geɖe wu. Ðe nuɖuɖu siwo ŋu wotrɔ asi le, sukli, kple nuɖuɖu siwo me ami sɔ gbɔ ɖo dzi kpɔtɔ.
• De kame edziedzi. Bia wò ɖɔkta be kamedede kawoe sɔ na wò eye nàwɔ wo. Nuwo abe azɔlizɔzɔ kple tsiƒuƒu ene nyo.
• Lé lolo si sɔ me ɖe asi. Lolo akpa ate ŋu ana gbɔgbɔmekuxiwo nadzi ɖe edzi .
• Kpɔ egbɔ be yede dodokpɔ kple ɣeyiɣi siwo katã nèɖo be yeawɔ kple wò ɖɔkta la ɖe game dzi. Mègadzo le ʋudodokpɔ, lãkusi ƒe dɔwɔwɔ dodokpɔ, alo X-ray dzi o.
• No atike siwo katã woŋlɔ na wò abe alesi wò ɖɔkta gblɔe na wò ene pɛpɛpɛ, le ɣeyiɣi si me nèŋlɔe kple ɣeyiɣi didi si nèŋlɔ na wò. Mègadzudzɔ atikeawo nono alo atrɔ atikeawo ƒe agbɔsɔsɔme le ɖokuiwò si o.
• Lé be na wò susu ƒe lãmesẽ. Agbenɔnɔ kple dɔléle sia tɔgbi ate ŋu anye nuteɖeamedzi. Ðo dze kple wò ɖɔkta, ƒometɔwo, kple xɔlɔ̃wo tso wò seselelãmewo ŋu. Di tagbɔdɔlélawo ƒe kpekpeɖeŋu ne ehiã.
• Ne èkpɔ dzesi yeye aɖewo alo ne edze abe wò dzesiawo le sesẽm ɖe edzi ene, vevietɔ tɔtrɔ le gbɔgbɔ ƒe nɔnɔme me, akɔtave, alo kɔdzidɔ sesẽ aɖe la, gblɔe na wò ɖɔkta enumake.

Ɣekaɣie wòle be madi atikewɔlawo ƒe aɖaŋuɖoɖo?

Wò ɖɔkta agblɔ dzesi siwo ŋu wòle be nàlé ŋku ɖo etɔxɛe kple nusi nàwɔ ne wova do mo ɖa la na wò. Dzesi siawo ate ŋu ato vovo le afisi sarcoidosis la le nu. Ne aklã me sarcoidosis le ŋuwò la, ele be nàyi atikewɔƒe enumake ne gbɔgbɔ ƒe tɔtrɔ kpata, akɔtave sesẽ, gbɔgbɔtsixe tsi ƒowò, alo ʋu si le dodom le ŋuwò. Azɔ hã, kpɔ wò ɖɔkta ne asrã, ŋutilã le veve sem, alo kɔdzidɔ si nɔa anyi ɖaa si nɔa anyi ŋkeke geɖe.

Nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui (Take-Home Message) .

Enyo, eyata aklã me sarcoidosis si ŋu míeƒo nu tsoe egbea nye dɔléle si womenya nusi gbɔ wòtso o si hea abi kple ƒunukpeƒe suesuesue siwo woyɔna be granulomas vɛ le aklã me. Le ame akpa gãtɔ gome la, ekpɔa egbɔ le eɖokui si, alo ne wowɔ atike nɛ ɣeyiɣi kpui aɖe la, ehayana. Eyata mègavɔ̃ alo atsi dzimaɖi ɖe esia ŋu madzemadzee o.

Nu vevitɔe nye be ne dzesiwo abe kɔdzidede atraɖii, gbɔgbɔtsixetsixe, alo akɔtave ene le ŋuwò la, mègaŋe aɖaba ƒu edzi ko aɖakpɔ ɖɔkta be woadoe kpɔ o. Dɔléle siawo ƒomevi kpɔkpɔ kaba kple wo dada nyuie le vevie ŋutɔ. Wò ɖɔkta ƒe mɔfiamewo dzi wɔwɔ, wò atikewo nono nyuie, kple dodokpɔ wɔwɔ edziedzi akpe ɖe ŋuwò ŋutɔ. Mègavɔ̃ be yeaƒo nu kple wò ɖɔkta alo yeƒe ƒomea tso nyabiase alo nusiwo ŋu nètsi dzi ɖo ŋu o. Nɔ susu nyui me, nɔ lãmesẽ me!

` Aklã me Sarcoidosis, Sarcoidosis, Granulomas, Aklãdɔléle, Yagbɔgbɔ ƒe Fuɖename, Kɔdzi, Dzoxɔxɔ, Aklã me Fibrosis